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An Ankle-Foot Orthosis With a Lateral Extension Reduces Forefoot Abduction in Subjects With Stage II Posterior Tibial Tendon Dysfunction / Christopher Neville in Journal of Orthopaedic & Sports Physical Therapy, vol. 46, 1 (Janvier 2016)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 46, 1 (Janvier 2016) . - p. 26-33
Titre : An Ankle-Foot Orthosis With a Lateral Extension Reduces Forefoot Abduction in Subjects With Stage II Posterior Tibial Tendon Dysfunction Type de document : article de périodique Auteurs : Christopher Neville ; Mary Bucklin ; Nathaniel Ordway ; Frédéric Lemley Année de publication : 2016 Article en page(s) : p. 26-33 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:biomécanique
[Thésaurus HELB]:Paramédical:test biomécanique
[Thésaurus Mesh]:C:Cheville:Cheville / anatomopathologie
[Thésaurus Mesh]ChevilleMots-clés : orthotics Résumé : Study Design Controlled laboratory, repeated measures.
Background
Posterior tibial tendon dysfunction is a common musculoskeletal problem that includes tendon degeneration and collapse of the medial arch of the foot (flatfoot deformity). Ankle-foot orthoses (AFOs) typically are used to correct flatfoot deformity. Correction of flatfoot deformity involves increasing forefoot adduction, forefoot plantar flexion, and hindfoot inversion.
Objectives
To test whether a foot orthosis with a lateral extension reduces forefoot abduction in patients with stage II posterior tibial tendon dysfunction while walking.
Methods
The gait of 15 participants with stage II posterior tibial tendon dysfunction was evaluated under 3 conditions: a standard AFO, an AFO with a lateral extension, and a shoe-only control condition. Kinematic variables of interest were evaluated at designated time points in the gait cycle and included hindfoot inversion/eversion, forefoot plantar flexion/dorsiflexion, and forefoot abduction/adduction. A 3-by-4, repeated-measures analysis of variance (brace condition by gait phase) was used to compare variables across conditions.
Results
The AFO with a lateral extension resulted in a significantly greater change in forefoot adduction compared to the standard AFO (2.6°, P = .02) and shoe-only conditions (4.1°, P<.01) across all phases of stance. Forefoot plantar flexion was significantly increased when comparing the standard AFO and AFO with a lateral extension to the shoe-only condition. The AFO with the lateral extension also demonstrated significantly increased hindfoot inversion during the loading response and terminal stance phases.
Conclusion
Off-the-shelf and standard AFOs have been shown to improve forefoot plantar flexion and hindfoot eversion, but not forefoot adduction. A lateral extension added to a standard AFO along the forefoot significantly improved forefoot adduction in participants with posterior tibial tendon dysfunction while walkingPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory Analysis / Cailbhe Doherty in Journal of Orthopaedic & Sports Physical Therapy, vol 45, 8 (Août 2015)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol 45, 8 (Août 2015) . - 626-633
Titre : Dynamic Balance Deficits 6 Months Following First-Time Acute Lateral Ankle Sprain: A Laboratory Analysis Type de document : article de périodique Auteurs : Cailbhe Doherty, Auteur Année de publication : 2015 Article en page(s) : 626-633 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cheville:Cheville / anatomopathologie
[Thésaurus Mesh]Cheville
[Thésaurus Mesh]PosturePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Physical Therapy Rehabilitation of an Adolescent Preprofessional Dancer Following Os Trigonum Excision: A Case Report / Alyson Filipa in Journal of Orthopaedic & Sports Physical Therapy, vol. 48, 3 (Mars 2018)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 48, 3 (Mars 2018) . - p. 194-203
Titre : Physical Therapy Rehabilitation of an Adolescent Preprofessional Dancer Following Os Trigonum Excision: A Case Report Type de document : article de périodique Auteurs : Alyson Filipa ; kelli Barton Année de publication : 2018 Article en page(s) : p. 194-203 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cheville:Cheville / anatomopathologie
[Thésaurus Mesh]Cheville
[Thésaurus HELB]:Paramédical:danseur professionnelRésumé : Case report.
Background
An os trigonum can be a source of pain for dancers due to impingement during repetitive ankle plantar flexion movements. Following excision of an os trigonum, it is important to have a gradual, progressive return-to-dance program for optimal recovery. The purpose of this case report is to describe the postoperative management and return-to-dance progression of an adolescent dancer post os trigonum excision.
Case Description
An adolescent preprofessional female dancer had an extensive history of left posterior heel pain, beginning at age 8, that led to surgical removal of an os trigonum at age 15. Post surgery, the patient was seen for a total of 22 visits over the course of 20 weeks. Treatment included therapeutic exercises, neuromuscular re-education, and manual therapy. Return-to-dance tests and guidelines were used to safely progress to full, unrestricted dance participation.
Outcomes
The dancer had a full return of ankle range of motion, strength, and balance, improved patient-reported outcome scores, and was able to fully return to dance participation.
Discussion
Treating a dancer following os trigonum excision should involve a screen for hypermobility, clear communication with the dance instructor, awareness of dance-specific biomechanics, and proper reintegration into dance participation.
Level of Evidence
Therapy, level 5Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible The anterior talofibular ligament : a detailed morphological study / Bader Khawaji in The Foot, vol.25, 3 (Septembre 2015)
[article]
in The Foot > vol.25, 3 (Septembre 2015) . - p. 141-147
Titre : The anterior talofibular ligament : a detailed morphological study Type de document : article de périodique Auteurs : Bader Khawaji, Auteur ; Roger Soames, Auteur Année de publication : 2015 Article en page(s) : p. 141-147 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cheville:Cheville / anatomopathologie
[Thésaurus Mesh]:L:Ligaments articulaires:Ligaments articulaires / traumatismes
[Thésaurus Mesh]Traumatismes de la chevillePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité F Périodique Erasme - périodiques Périodiques Disponible